NPI 1093247488

West 1020 Healthcare, INC.

Organisation Skilled Nursing Facility Provo, UT

Practice location

Address: 1053 W 1020 S, Provo, UT 84601-5656
Phone: (801) 373-2630
Fax: (801) 373-2660

Authorised official

Name: Soon Burnam
Title: Treasurer
Phone: (949) 540-1249

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Utah →

Registry record

NPI: 1093247488
Entity type: Organization
NPI issued: 3 Apr 2017
Record last updated: 1 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.